e-MDs: Charting the Future of Healthcare

PAGE 2 Company Background Founded in 1996 by David L. Winn, M.D. Headquartered in Austin, Texas Over 160 proud employees The e-MDs Team is a collaborative mix of physicians, nurses, pharmacists, practice managers, developers, & seasoned software professionals Over 2,000 e-MDs practices and counting (ambulatory clinics, urgent care, FQHC/RHC, residency programs, community health networks, RHIOs, IPAs, MSOs, GPOs, integrated delivery networks, etc...)

PAGE 3 What Makes e-MDs Unique? Development guided by physicians, for physicians Single database solution Financial strength allows us to be customer- driven, without investor pressures Consistently high industry ratings among EHR users Corporate ethos of honesty, integrity and accountability State-of-the-art, agile, next generation technologies e-MDs cyber clinic provides real-time, real world feedback on our software

PAGE 4 HIT Standards Active nationally in EHR promotion and technical specifications development. –Appointed to CCHIT (Certification Commission for Health Information Technology), an organization tasked by HHS to establish EHR standards. CCHIT was awarded 7.5 million dollars in November 2005 to help fund the project. –Nominated to the HL7 Technical committee by members of CCHIT to serve as technical liaison. –Founding member of the EHRVA (Electronic Health Records Vendors Association). Started CCR Acceleration Task Force, voting member ASTM E.31 for CCR One of 5 Pilot sites for ELINCS (EHR lab interoperability and connectivity standards)

PAGE 5 Why is CCHIT Important? e-MDs Solution Series TM among 89 Products to receive CCHIT Certification in 2006 e-MDs Solution Series TM among only 22 Products (19 companies) to receive CCHIT Certification for 2007 CCHIT’s mission: accelerate the adoption of HIT by creating an efficient, credible and sustainable certification program. Criteria focuses on functionality, interoperability and security. Over 300 products, thousands of marketing claims Over 200 functional requirements must be met each year CCHIT has identified & certified real-world, essential functionality criteria –Data security, protecting patient information, necessary features The only federally recognized standards body A nationally accepted check list for buyers to ensure legitimacy Eligibility criteria for higher reimbursement (CMS P4P), Stark subsidies (via hospitals, lab vendors, etc.), malpractice insurance reductions, RHIO memberships

PAGE 6 e-MDs Awards

PAGE 7 e-MDs Two-Time Champs – AAFP User Satisfaction Survey By 408 Physicians By 422 Physicians Rated #1

PAGE Functionality Ratings * Chart and Statistics compiled by AAFP 2005 User Satisfaction Survey

PAGE 9 Highest Rating in Functionality & Ease of Use * Chart and Statistics compiled by AAFP 2005 User Satisfaction Survey

PAGE 10 e-MDs 2008 Functionality Ratings * Chart and Statistics compiled by AAFP 2008 User Satisfaction Survey 300% more #1 rankings than the next best product!

PAGE 11 EHR PartnerSatisfactionSite Visit2007 CCHIT Pricing e-MDsPendingYesLow McKessonPendingYesMedium GEPendingNo Would Not Provide MedinformatixN/A (n=5)Not AvailNoHigh InteGreatN/ANot AvailNo Would Not Provide iSalusN/ANot AvailNoLow GlenwoodN/A (n=1)Not AvailNoLow American College of Physicians (ACP) EHR Partner Study Summary

PAGE 12 Research and Development 2 Major Releases Per Year 35% reinvestment back into R&D Thorough Q/A testing, Alpha, Beta, Charlie, GA e-MDs “content update manager” Active e-MDs User Community e-MDs National & Regional Users Group Meetings e-MDs Customer Advisory Board Every customer has Input Users help determine new functionality

PAGE 13 DOQ-IT guidelines are clearly identified and come pre- packaged with all related visit templates. Helpful hints and decision support related to each DOQ-IT measures present themselves at critical times during the patient encounter. e-MDs DOQ-IT Initiatives: Compliance at the point of care

PAGE 14 e-MDs DOQ-IT Initiatives: Patient Monitoring Tools Provides tools to monitor and manage a clinic’s entire patient population based on all DOQ-IT Guidelines Not only can the provider measure compliance, they can also take immediate action to remedy situations with particular patients that are non- compliant directly from the monitoring tool.

PAGE 15 e-MDs DOQ-IT Initiatives: Health Maintenance Guidelines DOQ-IT protocols are built into our clinical rules engine and present themselves throughout various areas of the application and allow the clinician to take action as needed.

PAGE 16 e-MDs Patient Portal – Features Patient Access to Medical History